title: Successful hybrid stage I palliation for hypoplastic left heart syndrome in a developing nation.
abstract: The first successful stage I palliation for hypoplastic left heart syndrome (HLHS) in a four-day-old female in the Philippines is reported, along with a discussion of the particular dynamics and challenges of performing this kind of surgery in a developing nation. Challenges met were not limited to the preoperative and perioperative period but involved the interstage period as well. In the face of such challenges, our experience, reported here, is the cause for cautious optimism.
authors.affiliation: Section of Pediatric Cardiology, Congenital Heart Disease Division of the Heart Institute, St. Luke's Medical Center, Quezon City Philippines.
authors.forename: Charles C
authors.initials: CC
authors.lastname: Cuaso
authors.forename: Dexter D
authors.initials: DD
authors.lastname: Cheng
authors.forename: Jonas Del
authors.initials: JD
authors.lastname: Rosario
authors.forename: Leah Patricia A
authors.initials: LP
authors.lastname: Plucena
authors.forename: Raquel
authors.initials: R
authors.lastname: Pasimio
authors.forename: Karl G
authors.initials: KG
authors.lastname: Reyes
keywords: congenital heart disease (CHD); congenital heart surgery; hypoplastic left heart syndrome; neonate